Effects of Matrix Metalloproteinase Inhibitor on Ventilator-Induced Lung Injury in Rats.
10.4046/trd.2002.53.6.619
- Author:
Je Hyeong KIM
1
;
Soo Yeon PARK
;
Gyu Young HUR
;
Seung Heon LEE
;
Sang Yeub LEE
;
Sang Myeon PARK
;
In Bum SUH
;
Chol SHIN
;
Jae Jeong SHIM
;
Kwang Ho IN
;
Kyung Ho KANG
;
Se Hwa YOO
Author Information
1. Department of Internal Medicine, College of Medicine, Korea University, Seoul, Korea. kkhchest@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Ventilator-induced lung injury;
Acute lung injury;
Matrix metalloproteinase;
Matrix metalloproteinase inhibitor
- MeSH:
Acute Lung Injury;
Animals;
Collagenases;
Connective Tissue Cells;
Humans;
Immunoglobulin G;
Lung Injury;
Macrophages, Alveolar;
Matrix Metalloproteinase 9;
Mice;
MMPI;
Rats*;
Rats, Sprague-Dawley;
Respiration, Artificial;
Respiratory Distress Syndrome, Adult;
Stress, Mechanical;
Tidal Volume;
Ventilator-Induced Lung Injury*
- From:Tuberculosis and Respiratory Diseases
2002;53(6):619-634
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Many inflammatory mediators and collagenases are involved in the pathogenesis of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). The increase of matrix metalloproteinase-9 (MMP-9, gelatinase-B) produced mainly by inflammatory cells was reported in many ALI models and ARDS patients. Cyclic mechanical stress also can induce MMP-9 production from alveolar macrophages and connective tissue cells. In this study, the expression of MMP-9 in ventilator-induced lung injury (VILI) model and the effects of matrix metalloproteinase inhibitor (MMPI) on VILI were investigated. METHODS: Eighteen Sprague-Dawley rats were divided into three groups: low tidal volume (LVT, 7mL/Kg tidal volume, 3 cmH2O PEEP, 40/min.), high tidal volume (HVT, 30mL/Kg tidal volume, no PEEP, 40/min) and high tidal volume with MMPI (HVT+MMPI) groups. Mechanical ventilation was performed in room air for 2 hours. The 20 mg/Kg of CMT-3 (chemically modified tetracycline-3, 6-demethyl 6-deoxy 4-dedimethylamino tetracycline) was gavaged as MMPI from three days before mechanical ventilation. The degree of lung injury was measured with wet-to-dry weight ratio and acute lung injury score. Expression of MMP-9 was studied by immunohistochemical stain with a mouse monoclonal anti-rat MMP-9 IgG1. RESULTS: In the LVT, HVT and HVT + MMPI groups, the wet-to-dry weight ratio was 4.70+/-0.14, 6.82+/-1.28 and 4.92+/-0.98, respectively. In the HVT group, the ratio was significantly higher than other groups (p<0.05). Acute lung injury score measured by five-point scale was 3.25+/-1.17, 12.83+/-1.17 and 4.67+/-0.52, respectively. The HVT group was significantly damaged by VILI and MMPI protects injuries by mechanical ventilation (p<0.05). Expression of MMP-9 measured by four-point scale was 3.33+/-2.07, 12.17+/-2.79 and 3.60+/-1.95, respectively, which were significantly higher in the HVT group (p<0.05). CONCLUSION: VILI increases significantly the expression of MMP-9 and MMPI prevents lung injury induced by mechanical ventilation through the inhibition of MMP-9.
